“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] Deciency in the level of VB12 may cause cognitive decline in older humans, metabolic abnormalities, anaemia, psychosis and heart disease, while the consumption of additional VB12 can lead to unexpected adverse effects of toxicity and deciency of folic acid. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] Notably, a country-wide study of the physiological reference range and level of VB12 shows that the reference range was 200-900 pg mL À1 , with the limit of the lowest level being 300 pg mL À1 (at present), which may indicate a deciency in VB12 and thus the aforementioned diseases, as in earlier reports. 5 Thus, accurate analytical measurement of VB12, especially at a picomolar level, is of paramount interest in practical clinical diagnosis.…”